Postpartum urinary retention can be caused by: a. Decreased ...

[jessicacav]

Postpartum urinary retention can be caused by:
 
  a. Decreased sensitivity to bladder fullness
  b. Stretching of the ureters during delivery
  c. Contraction of bladder muscles caused by oxytocin
  d. The effects of proteinuria and lactosuria on the bladder

Question 2

A woman's heart rate is 56 beats/minute on her second postpartum day. A review of her record shows that her heart rate normally ranges from 70 to 80 beats/minute. What action should the nurse take in relation to this information?
 
  a. Lower the head of her bed to combat impending shock.
  b. Evaluate her intake and output record for possible dehydration.
  c. Notify the physician and alert the ICU to a possible admission.
  d. Document the heart rate, knowing that bradycardia is usually transient.

[soda0602]

Answer to Question 1

ANS: A
During labor and delivery, genitourinary tissues may become edematous and traumatized, leading to a decreased awareness of the need to void. In addition, the bladder has increased capacity and decreased muscle tone.

Answer to Question 2

ANS: D
A slow heart rate is common during the first postpartum week. It does not indicate a problem. Impending shock is usually accompanied by tachycardia. Dehydration may or may not affect pulse rate.

[jessicacav]

Excellent

[laurnthompson]

TYSM